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Update on diabetes diagnosis and management.

Identifieur interne : 000467 ( Main/Exploration ); précédent : 000466; suivant : 000468

Update on diabetes diagnosis and management.

Auteurs : Carolyn Robertson [États-Unis] ; Andrew Jay Drexler ; Anthony T. Vernillo

Source :

RBID : pubmed:18196669

Descripteurs français

English descriptors

Abstract

BACKGROUND

The American Diabetes Association has established recommendations for the testing of undiagnosed people. Once diagnosed, those with diabetes must strive to maintain a level of glucose control that results in a metabolism that approaches that of people without diabetes. The dentist also can provide risk-reduction strategies for people prone to develop diabetes, and refer patients with signs and symptoms suggestive of diabetes to physicians.

METHODS

The authors describe criteria for establishing a diagnosis of diabetes and for identifying people at high risk of developing the disease. A combination of approaches in the medical management of type 1 and type 2 diabetes mellitus is presented, along with target outcomes.

RESULTS

Patients with diabetes maintain a glycosylated hemoglobin value of no higher than 7 percent. New therapeutic research includes early clinical trials of islet cell transplantation and therapeutic cloning from human stem cells, which may provide an alternate source of insulin-producing islet cells and, thus, may offer a potential cure for diabetes.

CONCLUSIONS

Rigorous metabolic control of diabetes can be achieved through a combination of therapeutic modalities and the establishment and maintenance of target outcomes. The dentist can implement preventive strategies and refer patients with signs and symptoms suggestive of diabetes to physicians.

CLINICAL IMPLICATIONS

The dentist and physician must work together as a team to achieve rigorous metabolic control of diabetes in their patients.


DOI: 10.14219/jada.archive.2003.0368
PubMed: 18196669


Affiliations:


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Le document en format XML

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<name sortKey="Robertson, Carolyn" sort="Robertson, Carolyn" uniqKey="Robertson C" first="Carolyn" last="Robertson">Carolyn Robertson</name>
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<nlm:affiliation>New York Diabetes Program, New York, NY 10016, USA. nydiabetes@aol.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New York Diabetes Program, New York, NY 10016</wicri:regionArea>
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<name sortKey="Drexler, Andrew Jay" sort="Drexler, Andrew Jay" uniqKey="Drexler A" first="Andrew Jay" last="Drexler">Andrew Jay Drexler</name>
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<term>Diabetes Mellitus (blood)</term>
<term>Diabetes Mellitus (diagnosis)</term>
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<term>Diet, Diabetic (MeSH)</term>
<term>Genetic Therapy (MeSH)</term>
<term>Glucose Tolerance Test (MeSH)</term>
<term>Glycated Hemoglobin A (analysis)</term>
<term>Humans (MeSH)</term>
<term>Hypoglycemic Agents (therapeutic use)</term>
<term>Islets of Langerhans Transplantation (MeSH)</term>
<term>Life Style (MeSH)</term>
<term>Stem Cells (MeSH)</term>
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<term>Animaux (MeSH)</term>
<term>Autosurveillance glycémique (MeSH)</term>
<term>Cellules souches (MeSH)</term>
<term>Diabète (diagnostic)</term>
<term>Diabète (sang)</term>
<term>Diabète (thérapie)</term>
<term>Glycémie (analyse)</term>
<term>Glycémie (métabolisme)</term>
<term>Humains (MeSH)</term>
<term>Hyperglycémie provoquée (MeSH)</term>
<term>Hypoglycémiants (usage thérapeutique)</term>
<term>Hémoglobine A glycosylée (analyse)</term>
<term>Mode de vie (MeSH)</term>
<term>Régime pour diabétique (MeSH)</term>
<term>Thérapie génétique (MeSH)</term>
<term>Transplantation d'ilots de Langerhans (MeSH)</term>
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<term>Blood Glucose</term>
<term>Glycated Hemoglobin A</term>
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<term>Glycémie</term>
<term>Hémoglobine A glycosylée</term>
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<term>Diabetes Mellitus</term>
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<term>Diabète</term>
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<term>Hypoglycémiants</term>
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<term>Animals</term>
<term>Blood Glucose Self-Monitoring</term>
<term>Diet, Diabetic</term>
<term>Genetic Therapy</term>
<term>Glucose Tolerance Test</term>
<term>Humans</term>
<term>Islets of Langerhans Transplantation</term>
<term>Life Style</term>
<term>Stem Cells</term>
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<term>Autosurveillance glycémique</term>
<term>Cellules souches</term>
<term>Humains</term>
<term>Hyperglycémie provoquée</term>
<term>Mode de vie</term>
<term>Régime pour diabétique</term>
<term>Thérapie génétique</term>
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<p>
<b>BACKGROUND</b>
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<p>The American Diabetes Association has established recommendations for the testing of undiagnosed people. Once diagnosed, those with diabetes must strive to maintain a level of glucose control that results in a metabolism that approaches that of people without diabetes. The dentist also can provide risk-reduction strategies for people prone to develop diabetes, and refer patients with signs and symptoms suggestive of diabetes to physicians.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>The authors describe criteria for establishing a diagnosis of diabetes and for identifying people at high risk of developing the disease. A combination of approaches in the medical management of type 1 and type 2 diabetes mellitus is presented, along with target outcomes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Patients with diabetes maintain a glycosylated hemoglobin value of no higher than 7 percent. New therapeutic research includes early clinical trials of islet cell transplantation and therapeutic cloning from human stem cells, which may provide an alternate source of insulin-producing islet cells and, thus, may offer a potential cure for diabetes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Rigorous metabolic control of diabetes can be achieved through a combination of therapeutic modalities and the establishment and maintenance of target outcomes. The dentist can implement preventive strategies and refer patients with signs and symptoms suggestive of diabetes to physicians.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CLINICAL IMPLICATIONS</b>
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<p>The dentist and physician must work together as a team to achieve rigorous metabolic control of diabetes in their patients.</p>
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